title: The use of a cephalic perforator for delivery of the dead fetus in cases of severe abruptio placentae.
abstract: A technique of cephalic perforation and fetal bone screw application is described in 9 cases of severe abruptio placentae complicated by intra-uterine fetal death and uterine inertia. Eight of the patients were delivered per vaginam within 6 hours of the procedure. Besides rapid progress to vaginal delivery, fetal mutilation was minimal and no maternal injuries occurred.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Cape Town.
authors.forename: M A
authors.initials: MA
authors.lastname: Belfort
authors.forename: P J
authors.initials: PJ
authors.lastname: Moore
mesh_terms: D000037:Abruptio Placentae / Q000601:surgery*; D036861:Delivery, Obstetric / Q000295:instrumentation*; D005260:Female; D005313:Fetal Death; D006801:Humans; D008722:Methods; D011247:Pregnancy; D011446:Prospective Studies